교정력 부하시기에 따른 교정용 미니 임플란트의 안정성
The effect of loading time on the stability of mini-implant
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본 연구는 미니 임플란트 식립 후 교정력 부하시기와 관련하여 임플란트 주위골의 치유과정을 조사하였다. 성견 8마리의 하악 협측골에 교정용 미니 임플란트(ORLUS, Ortholution CO, Korea) 48개를 식립한 후 교정력을 주지 않은 대조군과 식립 후 즉시 교정력을 준 즉시 부하군, 그리고 식립 후 3주간의 치유기간을 두고 교정력을 준 지연 부하군으로 나누어 각각의 군에 대해 3주, 6주, 12주가 경과된 시점에 임플란트 주위골의 변화를 조직 계측학적으로 관찰하였다. 골 접촉률은 즉시 부하군에서 시기에 따른 유의한 변화가 없었으며 지연 부하군은 3주에 비해 12주에서 유의하게 증가하였다 (p ＜ 0.05). 각 시점에서 군 간의 골 접촉률을 비교했을 때 12주째 지연 부하군이 즉시 부하군보다 유의하게 높았다 (p ＜ 0.05). 골 면적비율은 즉시 부하군의 경우, 시기에 따른 유의한 변화가 없었으며, 지연 부하군과 대조군은 6주에 비해 12주째 유의한 증가를 보였으며 (p ＜ 0.05), 12주째 실험군 간에 유의한 차이는 관찰되지 않았다 (p ＞ 0.05). 동요도는 12주째 즉시 부하군과 지연 부하군 간에 유의한 차이는 없었다 (p ＞ 0.05). 위의 결과에서 즉시 부하가 self drilling형 미니 임플란트 주위골의 안정성에 부정적인 영향을 주지 않았으므로 식립 즉시 교정력을 부여하여 사용하는 데 임상적으로 문제가 없을 것으로 판단된다. (대치교정지 2008;38(3):149-158)
Abstract
Objective: The purpose of this study was to investigate the stability of mini-implants in relation to loading time. Methods: A total of 48 mini-implants (ORLUS, Ortholution, Korea) were placed into the buccal alveolar bone of the mandible in 8 male beagle dogs. Orthodontic force (200 - 250 gm) was applied immediately for the immediate loading group while force application was delayed for 3 weeks in the delayed loading group. For the subsequent loading periods (3, 6, 12 weeks), BIC (bone implant contact) and BV/TV (bone volume/total volume) and mobility test were carried out. Results: The immediate loading group showed no changes in BIC from 3 to 12 weeks, while the delayed loading group showed a significant increase in BIC between 3 and 12 weeks (p ＜ 0.05). The BV/TV of the delayed loading group significantly increased from 6 to 12 weeks of loading (p ＜ 0.05), while the BV/TV of the immediate loading group decreased from 3 to 12 weeks of loading. However, there was no significant difference in BV/TV between experimental groups. The mobility of the immediate loading group was not significantly different from that of the delayed loading group after 12 weeks of loading (p ＜ 0.05). Conclusions: These results showed that immediate loading does not have a negative effect on the stability of mini-implants compared to the early loading method in both the clinical and histomorphometric point of view. (Korean J Orthod 2008;38(3):149-158)
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